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Health and Treatment Strategies in Obesity
Pharmacologic Treatment of Obesity
Sidhaye A, Cheskin L
Vaidya V (ed): Health and Treatment Strategies in Obesity.
Adv Psychosom Med. Basel, Karger, 2006, vol 27, pp 42-52 (DOI: 10.1159/000090962)
Abstract: Obesity is strongly associated with conditions such as hypertension, diabetes mellitus
and osteoarthritis that have known adverse health outcomes. The rising prevalence of obesity
threatens to overburden our health care system. As a result, the need for safe and effective
treatment options is urgent. Unfortunately, pharmacologic treatment options have been disappointing
either because of poor side effect profiles or limited long-term efficacy. Our goal is
to review currently available pharmacologic treatments and the data supporting their use so
that practicing physicians may better incorporate them into a comprehensive, long-term treatment
strategy for their patients. We focus on orlistat and sibutramine as these are the two medicines
approved by the FDA for long-term treatment of obesity. In addition, we review briefly
agents approved for short-term use as well as agents such as zonisamide and topiramate which
have shown some promise as weight loss agents in specific clinical circumstances. Finally, we
highlight one medicine currently in phase III clinical trials, an endocannabinoid receptor
antagonist. Given the overwhelming research focus on this disease, it is likely that the coming
years will bring more treatment options, raising the chance that our patients will have meaningful
and sustained weight loss.
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© 2009 S. Karger AG, Basel
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